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Commitment to Quality

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Quality Improvement

2013 nursing Quality Improvement


Improving Patient Flow

Nurses Drive Improved Patient Flow
When WakeMed nurses collaborate with physicians and staff, patients win. This holds true for the nursing-led initiatives to improve patient flow in and out of WakeMed’s six emergency departments. WakeMed Chief Nursing Officer Cindy Boily, RN, continues to be the administrative driver behind our successful patient flow improvement efforts.

Total Time from Admission Order to ED Exit

2013 nursing Quality Improvement order-ED exit

WakeMed Raleigh Campus Goes Greener
The Green Team – a group of three RNs, two mid-level providers, a physician and tech – launched in 2010 in the Triangle’s only Level I Trauma Center (WakeMed Raleigh Campus). The team’s purpose: to improve adult, mid-acuity patient wait times. Are they making progress? Absolutely!

Total Time in ED
299 minutes – Oct. 2011 – Oct. 2012
263 minutes – Oct. 2012 – July 2013 YTD
Improvement: 12%
The most significant changes occurred in June and July 2013 when the Green Team “went greener” and began serving patients 24/7.

Back at the Bedside
Nursing and Patient Transport Services at WakeMed Raleigh Campus have a successful collaboration that helps keep nurses by the bedside to directly care for and educate patients and families.

The WakeMed Cary Hospital Nursing and Transport teams began a similar collaboration in October 2012 and they are experiencing the same positive results.

Nursing Hours Back at the Bedside – Raleigh Campus
14,700 hours since Oct. 2011

Nursing Hours Back at the Bedside – Cary Hospital
1,380 hours since Oct. 2012

Patients Left Without Being Seen: Improvements for all WakeMed Emergency Departments

2013nursing Quality Improvement patients left not seen


Exemplary Professional Practice

Dramatically Decreasing Patient Falls
Thanks to highly engaged nurses, new technology (TABS monitors), the WakeMed Falls Committee’s specially designed falls toolkit and constant reminders (such as screensavers), patient falls with injury decreased by 50 percent.

  System-wide Inpatient Falls with Injury  

2013 nursing Quality Improvement falls injury

  Pressure Ulcer Reduction:  

 

Besting National Benchmarks WakeMed nurses continue to prove that evidencebased practices mean improved patient outcomes. Case in point: Their implementation of the evidence-based National Pressure Ulcer Advisory Panel’s Skin Breakdown Plan. System-wide, WakeMed has maintained pressure ulcer incidence rates below the national average since 2009.

*NDNQI – National Database of Nursing Quality Indicators

Hospital-Acquired Pressure Ulcer Incidence

2013 nursing Quality Improvement ulcer

  Nursing Certification:  

 

Taking Our Talent a Step Further

Specialty certifications show patients and families that we are serious about what we do.

Helping Our Nurses Get There

WakeMed provides:

  • Reimbursement for initial and renewal exam costs
  • Free, onsite review courses
  • WakeMed Certified Nurses Day to honor certified nurses and inform those seeking certification

Percentage of RNs who are specialty certified: 34%

2013 nursing Quality Improvement RN's

eICU®: Extra Expertise for Critically Ill Patients

In September 2012, WakeMed became the first hospital in the Triangle to offer an extra layer of care for critically ill patients – WakeMed eICU Services. Through the use of computers and carefully placed cameras in patient rooms, the off-site eICU clinical nurses monitor patients and collaborate with in-unit clinical nurses in the 88 adult critical care beds at Raleigh Campus and Cary Hospital.

The Benefits of the WakeMed eICU Service

Quarter 4 2012 – Quarter 1 2013

AVOIDED DAYS
Avoided ICU Days
Avoided Non-ICU Days
Total Avoided Days
TOTAL
1,098
625
1,723
 
MORTALITY MEASUREMENT PERIODS
Qtr. 3, 2012 (start of eICU)
Qtr. 4, 2012
Qtr. 1, 2013
Qtr. 2, 2013
MORTALITY RATE
0.89%
0.82%
0.68%
0.56%
2013 nursing Quality Improvement 3

 

 

 

In This Section
Nursing Annual Report
Patient & Family Centered Care
Publications & Research
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